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General NPI Number Information
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NPI Number | 1295082436
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Entity Type | Organization
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Legal Business Name | ACCUVISION OPTOMETRY INC
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Dates
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Enumeration Date | 08/07/2012
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Last Update Date | 03/11/2014
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Provider Practice Location Address
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Address Line | 236 S CITRUS ST
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City | WEST COVINA
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State | CA
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Zip | 91791-2144
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Country | US
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Telephone | 626-935-8886
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Fax |
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Provider Business Mailing Address
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Address Line | 236 S CITRUS ST
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City | WEST COVINA
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State | CA
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Zip | 91791-2144
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. VINCENT HSU
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Credential | O.D.
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Telephone | 714-743-5748
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 12985
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License Number State | CA
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